Enrollment Application Request

To request an enrollment packet, please complete the form below, and one will be mailed faxed or emailed to you immediately. Enrollment packets can also be downloaded from the downloads section of the PERFORMANCE ACADEMIES home page.

Name
Street Address		City
State		Zip Code

Phone Numbers (please include area codes)

Home		Mobile
Work		Fax

Email Address

I would like to receive my enrollment application by: Postal Mail Fax Email Attachment

Please give us some information about your child:

Child One Name		Enrolling Grade Level
Child Two Name		Enrolling Grade Level
Child Three Name		Enrolling Grade Level
Child Four Name		Enrolling Grade Level
Child Five Name		Enrolling Grade Level

School's Enrollment Application Requested

How Did You Hear About Our School?

Comments

Select Submit to Send the Form for Processing

Select Reset to Clear Your Entries and Begin Again